Pristine Surgery Center, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

261QA1903X Issued in CA

Legal business name

PRISTINE SURGERY CENTER, INC

Practice address

7085 N Maple Ave
Fresno, CA 93720-8011

Phone

(559) 431-8888

Fax

(559) 447-8400

NPI assigned

Dec 3, 2007

Last updated

Apr 1, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Pinky Pattar

Title

Office Manager

Phone

(559) 431-8888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Pristine Surgery Center IncCCN 05C0001966

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Prahalad B Jajodia, MD

  • Gastroenterology Physician
  • Fresno, CA
  • NPI 1114092186
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1831371749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7685 N KAVANAGH AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110362",
            "telephone_number": "559-431-8888",
            "fax_number": "559-447-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7085 N MAPLE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208011",
            "telephone_number": "559-431-8888",
            "fax_number": "559-447-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "PATTAR",
        "authorized_official_first_name": "PINKY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-431-8888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "261QA1903X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shadaria Rene Prince, LCSW
• Omari Jahi Pringle
• Miranda Diane Prints, MD
• Priority Care Medical LLC
• Priority Care Medical Transport LLC
• Donahvaugh Dimarco Rey Pritchett
• Alexander Pritsky, D.M.D.
• Fnu Priyanka, M.D.
• Pro Diagnostics
• Pro Hospice Agency

• Ambulatory Surgical Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.